| NPI | 1821376658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202209384) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232956) |
| 183500000X Pharmacist (Licence: VA 0202209384) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2025-08-05 |